ANTHONY DION JARRARD CADC I/CRM/PSS/QMHAI
NPI 1235785502
Peer Specialist in Portland, OR
NPI Status: Active since August 13, 2019
Contact Information
1631 SW COLUMBIA ST
PORTLAND, OR
ZIP 97201
Phone: (971) 261-0544
Fax: (971) 245-3043
- Individual
- Male
- Peer Specialist
About ANTHONY JARRARD
This page provides the complete NPI Profile along with additional information for Anthony Jarrard, a provider established in Portland, Oregon with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1235785502 assigned on August 2019. The practitioner's primary taxonomy code is 175T00000X with license number 3210 (OR). The provider is registered as an individual and his NPI record was last updated August 2025.
- NPI
- 1235785502
- Provider Name
- ANTHONY DION JARRARD CADC I/CRM/PSS/QMHAI
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1631 SW COLUMBIA ST PORTLAND, OR 97201
- Location Phone
- (971) 261-0544
- Location Fax
- (971) 245-3043
- Mailing Address
- 211 SE CARUTHERS ST PORTLAND, OR 97214
- Mailing Phone
- (503) 224-1044
- Mailing Fax
- (971) 245-3043
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-13-2019
- Last Update Date
- 08-20-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Peer Specialist
- Taxonomy Code
- 175T00000X
- Type
- Other Service Providers
- License No.
- 3210
- License State
- OR
- Taxonomy Description
- Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | 20-06-24 (OR) |
| 2 | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | 18-CRM-206 (OR) |
| 3 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | 25-QMHA-I-005159 (OR) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 500768570 | MEDICAID (05) | OR | |
| 500770905 | MEDICAID (05) | OR |
Reviews for ANTHONY DION JARRARD CADC I/CRM/PSS/QMHAI
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 3 | 5 | 7 | 8 | 5 | 5 | 0 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 6 | 5 | 14 | 8 | 10 | 5 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 6 + 5 + 1 + 4 + 8 + 1 + 0 + 5 + 0 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1235785502 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1770573354 | SUSAN ELMORE MD Individual | Psychologist | 1631 SW COLUMBIA ST PORTLAND, OR 97201 (503) 231-2641 |
| 1053302554 | ANDULIA WHITE ELK CADCI Individual | Counselor (Addiction (Substance Use Disorder)) | 1631 SW COLUMBIA ST PORTLAND, OR 97201 (503) 231-2641 |
| 1124019617 | PEGGY LACOMBE CADCII Individual | Counselor (Addiction (Substance Use Disorder)) | 1631 SW COLUMBIA ST PORTLAND, OR 97201 (503) 231-2641 |
| 1215928486 | PAMELA YOUNG RN Individual | Registered Nurse | 1631 SW COLUMBIA ST PORTLAND, OR 97201 (503) 231-2641 |
| 1770899056 | DAREN KEVIN FORD MSW, CSWA, CADCII Individual | Counselor (Addiction (Substance Use Disorder)) | 1631 SW COLUMBIA ST PORTLAND, OR 97201 (503) 231-2641 |
| 1336440007 | JEANINE RITA DIXON CACD III Individual | Counselor (Addiction (Substance Use Disorder)) | 1631 SW COLUMBIA ST PORTLAND, OR 97201 (503) 231-2641 |
| 1609163740 | NARA Organization | Substance Abuse Rehabilitation Facility | 1631 SW COLUMBIA ST PORTLAND, OR 97201 (503) 231-2641 |
| 1255775185 | REBEKAH SUE BARILE BA CADC I Individual | Counselor (Addiction (Substance Use Disorder)) | 1631 SW COLUMBIA ST PORTLAND, OR 97201 (503) 321-2641 |
| 1619385572 | ALESHIA KING C.A.D.C. I Individual | Counselor (Addiction (Substance Use Disorder)) | 1631 SW COLUMBIA ST PORTLAND, OR 97201 (503) 231-2641 |
| 1700258720 | SAMUEL ROBERTSON Individual | Counselor (Addiction (Substance Use Disorder)) | 1631 SW COLUMBIA ST PORTLAND, OR 97201 (503) 231-2641 |
| 1982063806 | AARON JOHN LARSON CADC1 Individual | Community/Behavioral Health | 1631 SW COLUMBIA ST PORTLAND, OR 97201 (503) 231-2641 |
| 1598110330 | RASHALL ORR Individual | Case Management | 1631 SW COLUMBIA ST PORTLAND, OR 97201 (971) 386-2426 |
| 1316256589 | KAI L NICHOLS CADC II Individual | Counselor (Addiction (Substance Use Disorder)) | 1631 SW COLUMBIA ST PORTLAND, OR 97201 (503) 231-2641 |
| 1235671637 | ALICE MARIE SAMPSON CSWA/CADC II Individual | Social Worker (Clinical) | 1631 SW COLUMBIA ST PORTLAND, OR 97201 (503) 231-2641 |
| 1710978341 | PATRICK J MORAN PHD Individual | Psychologist | 1631 SW COLUMBIA ST PORTLAND, OR 97201 (503) 231-2641 |
| 1609317072 | ELIZABETH A MILLER CADC CANDIDATE Individual | Student in an Organized Health Care Education/Training Program | 1631 SW COLUMBIA ST PORTLAND, OR 97201 (503) 231-2641 |
| 1669451332 | LEROY G BIGBOY CADC I Individual | Counselor (Addiction (Substance Use Disorder)) | 1631 SW COLUMBIA ST PORTLAND, OR 97201 (503) 231-2641 |
| 1780050617 | RENE D BREEDLOVE CADC I Individual | Counselor (Addiction (Substance Use Disorder)) | 1631 SW COLUMBIA ST PORTLAND, OR 97201 (503) 231-2641 |
| 1730549122 | LISA G HUNGARY RN/QMHP Individual | Registered Nurse (Community Health) | 1631 SW COLUMBIA ST PORTLAND, OR 97201 (503) 231-2641 |
| 1447760608 | KELLI A CUNNINGHAM QMHA-I Individual | Counselor (Mental Health) | 1631 SW COLUMBIA ST PORTLAND, OR 97201 (503) 231-2641 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1235785502, enumerated in the NPI registry as an "individual" on August 13, 2019
The provider is located at 1631 Sw Columbia St Portland, Or 97201 and the phone number is (971) 261-0544
The provider's speciality is Peer Specialist with taxonomy code 175T00000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on August 13, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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